In pediatric population central venous catheter (CVC) and peritoneal dialysis (PD) catheter remain a big challenge for nephrologists. We reported an eight month babe which all procedures to treat her acute kidney failure have been undertaken by interventional nephrologists (IN).

Material and methods:

We reported a case of an eight months babe weighing 10 kilos affected by a diarrhea positive hemolytic and uremic syndrome (D+ HUS). The babe presented a severe dyspnea, hypertension, and acute kidney failure. After general anesthesia a straight double cuff PD catheter was inserted into the peritoneal cavity. After two days the catheter presented a tip migration and dysfunction, in add to the babe presented peripheral veins exhaustion do to repeated peripheral vascular needling. We decided to remove the straight PD catheter and to exchange it by a coil PD catheter and to perform an ultrasound guided CVC. After two weeks the babe presented a related central catheter infection and we decided to exchange it over a wire. After four weeks the babe recovered a normal kidney function and both PD catheter and CVC have been removed and the babe come back home.

Results:

Traditionally the placement of a peritoneal dialysis (PD) catheter in babes has been accomplished by surgeons. In this case surgically placed PD catheter has been made by IN despite the small weight of the babe with performing ultrasound guided CVC in order to have the best caring support. All complications have been undertaken by IN.

Conclusions:

Procedures like CVC and peritoneal catheter insertion in pediatric population remain widely dominated by pediatric surgeons. IN can safely make those procedures in order to have the right care in the right time.